/
Begin and/or complete root canal treatment.  Responsibilities of the p Begin and/or complete root canal treatment.  Responsibilities of the p

Begin and/or complete root canal treatment. Responsibilities of the p - PDF document

karlyn-bohler
karlyn-bohler . @karlyn-bohler
Follow
431 views
Uploaded On 2015-08-17

Begin and/or complete root canal treatment. Responsibilities of the p - PPT Presentation

periodontal ligament healing will compromise the ability to move the tooth with high elastic forces Expect 40 to exhibit pulp canal obliteration 40 to require root canal treatment usually within ID: 109517

periodontal ligament healing will

Share:

Link:

Embed:

Download Presentation from below link

Download Pdf The PPT/PDF document "Begin and/or complete root canal treatme..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

Begin and/or complete root canal treatment. Responsibilities of the patient/parent/caregiver Allow radiographs for diagnosis of damage Approve treatment plan: surgical, active or passive repositioning Cooperate for repositioning/splinting/root canal treatment Comply with instructions if antibiotic therapy is required Return for post-operative splint removal/radiographs at the appropriate times as recommended by the dentist. (Usually splint removal at 8 wks or 2 months depending upon option with radiographs at that time, 3 months, 6 months and then yearly) Because of the high rate of complications associated with severe intrusions, patients and parents and the dentist should expect several visits during the first year. Three types of intrusions Tooth Radiographs (2 size 0 periapicals*) at different angles using Rinn holder, at the time of injury. Observe for passive repositioning (movement into arch alignment) Examination/radiographs at 8wks, 6m, 12m. Tooth 3-6mm intruded Radiographs (2 size 0 periapicals*) at different angles at the time of injury. Splint adjacent teeth and begin active traction on intruded tooth immediately Recall weekly during active traction . Retain with splint for 6-8 weeks. Examination/radiographs at 8wks, 6m, 12m. &#x 3mm;&#x int;&#xrude; T;&#xj ET;&#x Q q;&#x 0.1; 0 ;� 0.; 1;i.5;҃ ;ʁ.;d c;&#xm BT;&#x 75 ;� 0 ;u 0;&#x 0 T;&#xm /F;.0 ; Tf;&#x 000;Tooth 6mm intruded Radiographs (2 size 0 periapicals*) at different angles at the time of injury. Remove tooth and proceed as in Scenario 3, for avulsions. Examination/radiographs at 6m, 12m. periodontal ligament healing will compromise the ability to move the tooth with high elastic forces. Expect 40% to exhibit pulp canal obliteration, 40% to require root canal treatment, usually within the first year. Beyond 6mm intrusion survival is drastically reduced. If the patient has not attained full growth, ankylosis will lead to infraocclusion during the adolescent growth spurt. We remove such teeth surgically, complete endodontics and splint (as in replanted teeth). This controls infection and produces the expected outcome, ankylosis and replacement root resorption. Malmgren B, Malmgren O. Rate of infraposition of reimplanted ankylosed incisors related to age and growth in children and adolescents. Dent Traumatol 2002;18:28-36